Number of Antipsychotic Medications Prescribed at Discharge

Specifications Manual for Joint Commission National Quality Measures (v2015A)

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Release Notes:
Data Element
Version 2015A

Data Element Name:

Number of Antipsychotic Medications Prescribed at Discharge

Collected For:

HBIPS-4, HBIPS-5,

Definition:

The number of routinely scheduled antipsychotic medications prescribed to the patient at discharge as documented in the medical record.

Suggested Data Collection Question:

What is the documented number of antipsychotic medications prescribed for the patient at discharge?

Format:

Length:	2 or UTD
Type:	Alphanumeric
Occurs:	1

Allowable Values:

0-99
UTD= Unable to Determine

Notes for Abstraction:

An antipsychotic medication is defined as any of a group of drugs, such as the phenothiazines, butyrophenones or serotonin-dopamine antagonists, which are used to treat psychosis. An antipsychotic medication is also called neuroleptic (refer to Appendix C, Table 10.0- Antipsychotic Medications).

All antipsychotic medications should be counted regardless of the indication for use or the reason documented for prescribing the antipsychotic medication.

If the patient was in an acute-care hospital and had multiple admissions to the psychiatric unit during his or her hospitalization, this information should be abstracted only once at the time of discharge from the hospital.

If the patient is on two forms of the same medication i.e., po and IM, this would be counted as one antipsychotic medication.

Only use Antipsychotic NOS in the following situation:

For new antipsychotics that are not yet listed in Table 10.0 in Appendix C.

It is acceptable to use data derived from pharmacy reports or clinical information systems if they are available and are directly derived from the medical record with a process in place to confirm their accuracy. If this is the case, these may be used in lieu of the suggested data sources listed below.

Suggested Data Sources:

Aftercare discharge plan
Continuing care plan
Discharge plan
Final discharge summary
Interim discharge summary
Medication reconciliation form
Physician discharge orders
Physician progress notes
Referral form

Additional Notes:

Guidelines for Abstraction:

Inclusion

Exclusion

Refer to Appendix C, Table 10.0- Antipsychotic Medications

PRN antipsychotic medications
Short-acting intramuscular antipsychotic medications (refer to Appendix C, Table 10.1- Short-Acting Intramuscular Antipsychotic Medications)

Number of Antipsychotic Medications Prescribed at Discharge

Specifications Manual for Joint Commission National Quality Measures (v2015A)
Discharges 01-01-15 (1Q15) through 09-30-15 (3Q15)